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This paper investigates a case whereby the historical monopoly of a medical college was challenged by internal dissenters and also by external pressure in the form of national competition policy. The case is particularly notable in that the apparently private domain of medical training is now subject to explicit public involvement of a transparent and regulated nature. Based on in‐depth interviews and primary documents, the paper argues that in contributing to marketisation, the latent schism and tensions within Australian general practice have, consequently contributed to a decrease in professional autonomy and independence.

Researchers are increasingly being asked to demonstrate the impact of their research on policy. Unfortunately, evidence on what works is scarce because it is rarely reported and evaluated. This paper describes a programme of facilitated engagement between knowledge producers and users on topics of joint research and policy interest, and validates a six-item evaluation instrument. Our results confirm a simple instrument can be used to assess the effectiveness and relevance of presentations and to gauge the users' receptivity to research. The success of our knowledge mobilisation strategy relies upon a favourable alignment of the social, political and economic contexts.

Researchers are increasingly being asked to demonstrate the impact of their research on policy. Unfortunately, evidence on what works is scarce because it is rarely reported and evaluated. This paper describes a programme of facilitated engagement between knowledge producers and users on topics of joint research and policy interest, and validates a six-item evaluation instrument. Our results confirm a simple instrument can be used to assess the effectiveness and relevance of presentations and to gauge the users' receptivity to research. The success of our knowledge mobilisation strategy relies upon a favourable alignment of the social, political and economic contexts.

Researchers are increasingly being asked to demonstrate the impact of their research on policy. Unfortunately, evidence on what works is scarce because it is rarely reported and evaluated. This paper describes a programme of facilitated engagement between knowledge producers and users on topics of joint research and policy interest, and validates a six-item evaluation instrument. Our results confirm a simple instrument can be used to assess the effectiveness and relevance of presentations and to gauge the users' receptivity to research. The success of our knowledge mobilisation strategy relies upon a favourable alignment of the social, political and economic contexts.

The Professions in Australia Study is the first longitudinal investigation of the professions in Australia; it spans 33 years. Self-administered questionnaires were distributed on at least eight occasions between 1965 and 1998 to cohorts of students and later practitioners from the professions of engineering, law and medicine. The longitudinal design of this study has allowed for an investigation of individual change over time of three archetypal characteristics of the professions, service, knowledge and autonomy and two of the benefits of professional work, financial rewards and prestige. A cumulative logit random effects model was used to statistically assess changes in the ordinal response scores for measuring importance of the characteristics and benefits through stages of the career path. Individuals were also classified by average trends in response scores over time and hence professions are described through their members' tendency to follow a particular path in attitudes either of change or constancy, in relation to the importance of the five elements (characteristics and benefits). Comparisons in trends are also made between the three professions

Introduction: Enhancing quality and safety in primary health systems is of central importance to fianders, practitioners, policy makers and consumers. In this paper we explore the roles of general practice nurses in relation to quality and safety. Method: Cross-sectional multimethod study of 25 Australian general practices. Using rapid appraisal we collected data for each practice from interviews with practice nurses, general practitioners and practice managers; photographs of nurse-identified 'key work-spaces'; structured observation of nurses for two one-hour sessions; and floor plans. Results: Quality was articulated in two domains, reflecting both external and intrinsic determinants. External determinants included a large number of essentially structural, procedural or regulatory processes, the most marked of these being practice accreditation and occupational health and safety; these corresponded to the Habermasian idea of system. Intrinsic determinants related mostly to nurse perception of their own quality behaviour, and consisted of ways and means to improve or optimise patient care; these correspond to Habermas' notion of the lifeworld. Discussion: Nurses describe a productive tension between the regulatory roles that they play in general practices, and patient-focused care, contrary to Habermas' suggestion that system subsumes life-world. Current funding systems often fail to recognise the importance of the particular elements of nurse contributions to quality and safety in primary care.